Organization
SHELDON COTLER ET AL PTR NORTH SHORE CONSULTATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L DAVENPORT PHD (PARTNER)
(847) 498-4744
Entity
Organization
Contact information
Practice address
1535 LAKE COOK RD, SUITE #111, NORTHBROOK, IL 60062-1450
(847) 498-4744
(847) 498-4811
Mailing address
1535 LAKE COOK RD, SUITE #111, NORTHBROOK, IL 60062-1450
(847) 498-4744
(847) 498-4811
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/01/2008
Last updated
06/23/2008
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